YOUTH CONSULTATION SERVICE INC (NPI# 1760522338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760522338 |
| Entity Type | Organization |
| Organization Name | YOUTH CONSULTATION SERVICE INC |
| Practice Address |
260 Broadway Newark NJ 07104-3906 |
| Mailing Address |
284 Broadway Newark NJ 07104-4003 |
| Practice Telephone | 9734822808 |
| Practice Fax Number | 9734822861 |
| Mailing Telephone | 9734828411 |
| Mailing Fax Number | 9734822907 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD MINGOIA (PRESIDENT CEO) |
| Authorized Official Telephone | 9734828411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | NJ | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0009806 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1871097030 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Walnut Street, Northvale, NJ 07647 | 2018-03-22 |
| 1841794195 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Greenbrook Rd, Middlesex, NJ 08846-1319 | 2018-03-21 |
| 1134670623 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1153 E Laurelton Pkwy, Teaneck, NJ 07666-2766 | 2016-10-19 |
| 1235590803 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pamela Dr, Randolph, NJ 07869-3903 | 2016-03-10 |
| 1386005957 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Hill Top Dr, Princeton, NJ 08540-1301 | 2016-03-10 |
| 1316308000 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2345 Vine Rd, Vineland, NJ 08361-2517 | 2016-03-09 |
| 1881055580 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 187 Morris Ave, Denville, NJ 07834-1736 | 2016-03-09 |
| 1831564434 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11arcadia Drive, Winslow, NJ 08095 | 2015-12-08 |
| 1275913261 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33-35 Thomas St, Paterson, NJ 07503-2353 | 2015-06-04 |
| Street Address |
260 BROADWAY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215395926 | Our House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 260 Broadway, Newark, NJ 07104-3906 | 2016-02-09 |
| 1548414964 | Caroline O Corvino | Clinical Nurse Specialist | 260 Broadway, Newark, NJ 07104-3906 | 2008-11-12 |
| 1275755373 | Mary J Askew | Nurse Practitioner | 260 Broadway, Newark, NJ 07104-3906 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493097 | Cognitive Organics LLC | Community/Behavioral Health | 14 N Park Pl, Newark, OH 43055-5517 | 2020-07-01 |
| 1861023889 | Neighbours-inc | Community/Behavioral Health | 286 Muhammad Ali Ave, Newark, NJ 07108-2016 | 2020-01-29 |
| 1538721824 | Robyn Hope Pavlick | Community/Behavioral Health | 183 S Orange Ave # Leveld, Newark, NJ 07103-2757 | 2019-07-08 |
| 1457910515 | Trdiann J Clement | Community/Behavioral Health | 288 Fairmount Ave, Newark, NJ 07103-2334 | 2019-06-11 |
| 1497224638 | Home Care for You, Inc. | Community/Behavioral Health | 1 Bloomfield Ave Ste 2, Newark, NJ 07104-2547 | 2018-11-16 |
| 1982195400 | Amari Behavioral Health | Community/Behavioral Health | 39 Maiden Ln, Newark, NJ 07102-5800 | 2018-05-21 |
| 1063901015 | Walloflions | Community/Behavioral Health | 402 Mount Prospect Ave Apt 11g, Newark, NJ 07104-2152 | 2018-05-04 |
| 1811485543 | Integrity, Inc. | Community/Behavioral Health | 103 Lincoln Park, Newark, NJ 07102-2388 | 2018-04-27 |
| 1023527496 | Youth Advocate Programs, Inc. | Community/Behavioral Health | 45 Academy St Ste 303, Newark, NJ 07102-2900 | 2017-09-28 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.